tag:blogger.com,1999:blog-1651191617949674054.post1225599351648740964..comments2024-03-17T17:29:31.245+00:00Comments on Differential Diagnosis: Clinical queriesDean Jenkinshttp://www.blogger.com/profile/07988740182662829798noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-1651191617949674054.post-56080590789126337082011-03-30T23:40:34.190+01:002011-03-30T23:40:34.190+01:00that's what we all wonder:) I do like Tilt tho...that's what we all wonder:) I do like Tilt though ... think there is lots of potential <br />http://tilt.tripdatabase.com/Anne Mariehttp://wwwiwishfulthinkinginmedicaleducation.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-1651191617949674054.post-26695535502315274482011-03-23T22:09:03.261+00:002011-03-23T22:09:03.261+00:00In this case I was the one who made the diagnosis ...In this case I was the one who made the diagnosis of the probable essential thrombocythaemia. It looked pretty much like it to me but there were some other minor abnormalities too and there was nothing documented on the FBC report. In my last hospital they would usually have picked it up and put something in the report. I'm just highlighting my uncertainty.<br /><br />I'm not sure if there is a local policy on CRP. I've only just started in the Trust so it should be something I can investigate.<br /><br />Wonder if this public honesty about my learning is really worth it?Anonymoushttps://www.blogger.com/profile/11768923929904631024noreply@blogger.comtag:blogger.com,1999:blog-1651191617949674054.post-55337547631340467232011-03-23T22:01:16.371+00:002011-03-23T22:01:16.371+00:00Oh I do have access! The paper doesn't tell me...Oh I do have access! The paper doesn't tell me a lot more except that referral should be made so that diagnosis could be confirmed- do you think that is necessary?Anne Marie Cunninghamhttps://www.blogger.com/profile/05289974924032448531noreply@blogger.comtag:blogger.com,1999:blog-1651191617949674054.post-55109728953235095832011-03-23T21:53:50.274+00:002011-03-23T21:53:50.274+00:00I can't access the paper on thromobocythaemia....I can't access the paper on thromobocythaemia. Since aspirin is the treatment in this range why would you need to refer to a haematologist? What would they do?<br /><br />Next, CRP is probably over-ordered in primary care as well although the indications are pretty vague here:<br /><br />http://www.gain-ni.org/Library/Guidelines/Lab_Guide.pdf<br /><br />You would know better than me whether there is a local policy:)Anne Marie Cunninghamhttps://www.blogger.com/profile/05289974924032448531noreply@blogger.com